CT abdomen and pelvis with contrast at Riverside Community Hospital. CPT 74177.
What Riverside Community Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$26,037cash price (self-pay)
$26,037list price
$419–$23,433range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $828 |
| Anthem | ExchangeHMO | $1,134 |
| Blue Shield | EPN | $1,158 |
| Anthem | COMM | $1,197 |
| Aetna | HMO | $1,359 |
| Aetna | PPO | $1,359 |
| Blue Shield | COMM | $1,865 |
| MedCare Partners | MGMCR | $3,906 |
| United | OptionsPPO | $6,848 |
| First Health | COMM | $11,456 |
| American Health System | HIX | $11,717 |
| United | GlobalBenefitPlan | $11,717 |
| HealthSmart | COMM | $20,829 |
| Multiplan | COMMCOMPLEMENTARYPPO | $20,829 |
| Next | COMMPPO | $20,829 |
| Multiplan | COMMPRIMARYPPO | $22,131 |
| First Health | WCOMP | $23,433 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.